Aloha! Ua noʻonoʻo paha ʻoe e pili ana i nā
kīʻaha koko nui a koʻikoʻi i loko o ko kākou mau wāwae? ʻO ka mea a kākou e kamaʻilio ai i kēia lā, ʻo ia
ka aʻa koko femoral . I ka ʻōlelo maʻalahi, he kīʻaha koko nui kēia i loko o kēlā me kēia o kou mau wāwae. Ua like ia me ke alaloa, e hōʻiliʻili ana i ke koko mai nā ʻāpana haʻahaʻa o nā wāwae a lawe hou iā ia i ka puʻuwai. Hana ia i kahi hana koʻikoʻi loa, ʻeā? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku.
He aha nā aʻa koko? No ke aha lākou i koʻikoʻi ai iā mākou?
E noʻonoʻo e pili ana i ia mea, ke kahe nei ke koko o ko kākou kino ma o lākou, e like me kahi pūnaewele o nā kahawai liʻiliʻi. Lawe kēia koko i
ka oxygen a me nā meaʻai i ko kākou mau iwi āpau, nā ʻiʻo, a me nā ʻiʻo. No laila, ma hope o ka hāʻawi ʻia ʻana o kēia oxygen a me ka meaʻai, lilo kēlā koko i mea ʻole ka oxygen, a kapa mākou ia
he koko 'deoxygenated' . ʻO ka ʻōnaehana o nā kīʻaha koko liʻiliʻi e lawe ana i kēlā koko ʻole ka oxygen i hoʻihoʻi i ka ʻaoʻao ʻākau o ka puʻuwai ʻo ia ka mea a mākou e kapa nei he 'veins'. He ʻāpana koʻikoʻi loa kēia mau aa koko o kā mākou
ʻōnaehana hoʻopuni koko.
No laila, he aha kēia ʻōnaehana hoʻopōʻaiapuni?
He mea maʻalahi loa ia. I kēlā me kēia manawa e paʻi ai kou puʻuwai, lawe ia i
ke koko momona i ka oxygen mai ka ʻaoʻao hema o kou puʻuwai a hoʻouna iā ia ma o nā aʻa i nā ʻiʻo āpau o kou kino. Ma hope o ka loaʻa ʻana o kēlā mau ʻiʻo i ka oxygen a me nā meaʻai e pono ai lākou, hōʻiliʻili ʻia nā huahana ʻōpala i koe, e like me
ke kalapona ʻokikene, i loko o nā kīʻaha koko liʻiliʻi (kapa mākou iā lākou he capillaries). Ma laila e hoʻomaka ai ka hana o nā aʻa. Hele kēia koko nele i ka oxygen, piha i ka ʻōpala ma o nā aʻa a hoʻi i ka puʻuwai. Hana pū kou puʻuwai, kēia mau kīʻaha koko, a me kou mau aʻa e mālama i kēia ʻōnaehana hoʻopuni koko e hana ana i hoʻokahi mele. ʻAʻole anei he mīkini kupaianaha?
He aha ka hana kūikawā o ka aʻa femoral?

ALT ="ʻIke anei ʻoe e pili ana i kēia kīʻaha koko nui i kou wāwae? (Femoral Vein) E kamaʻilio kākou e pili ana i nā kikoʻī!" width="800" height="941" /> I kēia manawa, e hoʻi kākou i ke ʻano nui o kā kākou moʻolelo. ʻO ia ka aʻa koko femoral. I kekahi manawa ua kapa ʻia hoʻi ʻo ia
ka aʻa koko femoral superficial . ʻO ke koko e puka mai ana mai nā ʻāpana haʻahaʻa o kou wāwae e hui pū me kēia aʻa koko femoral. A laila, lawe kēia aʻa koko femoral i kēlā koko i kou
aʻa koko iliac waho . Mai laila mai, komo ke koko i loko o nā aʻa koko nui i loko o kou ʻōpū. Ua like ia me nā alanui liʻiliʻi e hui pū ana e hana i kahi alaloa nui.
Pehea e hana pū ai nā aʻa femoral me nā aʻa ʻē aʻe?
ʻAʻole kēia aʻa femoral he aʻa hoʻokahi. He ʻāpana wale nō ia o kahi pūnaewele nui o nā aʻa i loko o ko kākou kino. Hoʻopili ʻia kēia mau aʻa a pau, e lawe ana i ke koko mai kekahi aʻa i kekahi, a ma ka hopena e lawe ana i ke koko i ka ʻaoʻao ʻākau o ka puʻuwai. Ua like ia me kahi hui e hana pū ana.
Pehea e loaʻa ai ke koko i nā aʻa femoral?
Loaʻa ke koko i ka aʻa femoral mai
ka aʻa popliteal, aia ma lalo o kou kuli. Hoʻokumu ʻia ka aʻa popliteal ma ka hui ʻana o nā aʻa liʻiliʻi ma ka wāwae haʻahaʻa. ʻO nā aʻa liʻiliʻi e hoʻolako i ke koko i kahi aʻa nui aʻe ua kapa ʻia he
mau tributaries . He nui nā lālā like o ka aʻa femoral. ʻO lākou:
- ʻAʻa koko hohonu o ka femoral: Aia kēia ma kahi hohonu loa i loko o kou ʻūhā. Hoʻohui ia me ka aʻa koko femoral e hana i ka aʻa koko femoral maʻamau .
- ʻAʻa saphenous nui: ʻO kēia kekahi o nā aʻa maloʻo lōʻihi loa o ko mākou kino. Hoʻomaka ia ma ka wāwae a piʻi i luna i ka wāwae e hui pū me ka aʻa femoral.
- ʻO nā aʻa koko femoral lateral a me medial circumflex: He mau aʻa koko liʻiliʻi ʻē aʻe kēia. Hōʻiliʻili lākou i ke koko mai nā ʻiʻo o ka wāwae a kahe i loko o ka aʻa koko femoral.
No ke aha he mea nui loa ka ʻōpū femoral?
He ʻano koʻikoʻi ko kēia aʻa koko. Hoʻohana nā kauka i kēia aʻa koko femoral e ʻike a mālama i kekahi mau maʻi puʻuwai. ʻAʻole anei he mea kupaianaha?
Eia kekahi laʻana, i kekahi manawa hoʻokomo lākou i kahi catheter (he ʻōmole lahilahi a palupalu) ma o kēia aa koko e hana i nā hoʻokolohua e like me ka catheterization puʻuwai ʻākau . Hiki iā lākou ke hana i nā lāʻau lapaʻau no kekahi mau pilikia puʻuwai, e like me ka cardiac ablation .
ʻO ia hoʻi, ʻaʻole wale kēia aa koko he mea e lawe ai i ke koko, akā he mea pono loa hoʻi ia i ka lāʻau lapaʻau.
Aia i hea ka aʻa femoral?
Aia kēia aʻa koko ma kou ʻūhā. Hoʻomaka ia ma ke kuli, piʻi i luna ma o ka ʻūhā, a hoʻopau i kou ʻōpū. Loaʻa pinepine kēia aʻa koko femoral ma kahi kokoke i
ke aʻa femoral , ʻo ia ka ʻāpana o ka ʻūhā e paʻa ana i ke aʻa femoral.
Pehea e ʻike ai nā kauka i ka vein femoral?
Hiki i nā kauka ke hoʻohana i ka
ultrasound vascular e ʻike pono i kahi o ke aʻa. Hiki i kēia ke nānā i ke ʻano o ke kahe ʻana o ke koko ma o ke aʻa.
Ua like anei nā aa koko femoral o kēlā me kēia kanaka?
Eia kekahi mea nui.
ʻO nā valves i loko o ka aʻa femoralʻAe. Hoʻōki kēia mau kiwikā i ke koko mai ke kahe ʻana i lalo i kona hele ʻana i luna, i ka puʻuwai. E noʻonoʻo iā lākou he mau puka e pale ana i kahi ala wai mai ke kahe ʻana i luna. Eia naʻe, ʻaʻole like ka nui o nā kiwikā o kēlā me kēia kanaka. Loaʻa paha i kekahi poʻe nā kiwikā he nui aʻe, ʻoi aku ka liʻiliʻi o kekahi. Eia kekahi, ʻokoʻa paha ka nui o nā kiwikā i loko o ke aʻa femoral ma kou wāwae ʻākau ma mua o ka helu ma kou wāwae hema.
Pehea ka nui o ka aʻa femoral?
ʻOkoʻa ka lōʻihi o kēia ma muli o kou kiʻekiʻe, akā ʻo ke anawaena (ʻo ia hoʻi, ka laulā o ka ʻāpana kea) hiki ke loaʻa maʻamau mai 6 millimeters (e like me ka nui o ka mea holoi penikala) a i 11 millimeters (e like me ka nui o ka pi maʻamau).
Mai ke aha mai i hana ʻia ai kēia aʻa?
ʻO ka maʻamau, ʻekolu papa o ka paia o kahi aa:
- Papa o loko loa: Hana ʻia kēia me nā pūnaewele e hoʻopuka i nā mea e kōkua ai i ke kuʻi ʻana o nā kīʻaha koko. Kāhea mākou iā lākou he mau pūnaewele endothelial .
- Papa waena: Hana ʻia kēia me nā ʻiʻo laumania. ʻO kēia ka mea e hāʻawi ai i nā aʻa i ko lākou palupalu.
- ʻO ka papa waho loa: Hana ʻia kēia me nā ʻiʻo hoʻohui (e like me ke collagen a me ka elastin) . ʻAe kēia i nā aa koko e kīkoʻo a ʻūlū e like me ka mea e pono ai.
He aha nā kūlana maʻamau e hoʻopilikia ai i ka aʻa femoral?
ʻOi aku ka maʻalahi o nā aʻa koko i loko o ko kākou mau wāwae, ʻoiai ke aʻa koko femoral, i
ka paʻa ʻana o ke koko a me ka pehu ʻana ma mua o nā aʻa koko ma nā wahi ʻē aʻe. He ʻoiaʻiʻo loa kēia no ka poʻe e kū ana no ka manawa lōʻihi. ʻO kēia no ka mea ke kū mākou, pono ke koko e neʻe i luna e kūʻē i ka umekaumaha. No laila, inā ʻaʻole hana pono nā valves i loko o ke aʻa koko femoral, hoʻomaka ke koko e hōʻiliʻili. Hiki i kēia ke alakaʻi i nā kūlana e like me:
- Ka lawa ʻole o ke kahe koko i loko o nā aa koko mau loa: He hōʻino kēia o ke kahe koko i loko o nā aa koko no ka manawa lōʻihi.
- ʻO ka thrombosis vein hohonu o ke aʻa femoral (DVT): He ʻūpā koko kēia e hana hohonu ana i loko o ke aʻa femoral. Hiki ke lilo i mea weliweli iki, no ka mea, inā haki ke ʻūpā a paʻa i kahi e like me nā māmā, hiki ke lilo i pilikia nui.
He aha nā hōʻailona o kahi pilikia me ka vein femoral?
Inā ʻaʻole lawe pono kou aʻa femoral i ke koko, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- Ka manaʻo o ka ʻeha a me ke kaumaha ma nā wāwae.
- Nā pilikia ʻili ma nā wāwae (ʻili maloʻo, ʻili ʻana, ʻeha).
- Ka pehu ʻana o nā wāwae.
- ʻO ke kūkulu ʻia ʻana o nā ʻeha ma nā wāwae.
- ʻO nā aʻa varicose (he mau aʻa polū kēia, wili ʻia e ʻike ʻia ma ka ʻili).
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe loa.
He aha nā hoʻokolohua a nā kauka e hoʻohana ai e nānā inā olakino ka aʻa femoral?
Hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua e like me kēia e nānā i ke olakino o kāu vein femoral:
- ʻO ke kani ultrasound duplex Venous: Hiki ke hoʻohana ʻia kēia e ʻike ai pehea e kahe ai ke koko i loko o nā aʻa a inā he mau ʻūpē koko.
- Nānā CT
- MRI `(MRI)`
I kekahi manawa, hoʻokomo nā kauka i kahi wai kūikawā (dye) i loko o nā aa koko a lawe i
nā kukuna X e nānā i ke kahe o ke koko. Ua kapa ʻia kēia hoʻāʻo
he venogram .
Pehea e mālama ʻia ai nā pilikia o nā aʻa femoral?
E hoʻoholo kāu kauka i ka lāʻau lapaʻau e pili ana i kou kūlana. Inā he mau ʻūpā koko i loko o ke aʻa femoral, aia nā lāʻau lapaʻau e hoʻoheheʻe iā lākou a hoʻomaikaʻi i ke kahe koko. Eia kekahi laʻana:
- Nā Anticoagulants: ʻO kēia nā lāʻau lapaʻau e pale ai i ke koko mai ka coagulants.
- Nā lāʻau thrombolytic: ʻO kēia nā lāʻau lapaʻau e hoʻoheheʻe i nā ʻōpū koko i hana mua ʻia.
He aha kā kākou e hana ai e mālama i ke olakino o ko kākou mau aa koko?
ʻO kēia ka ʻāpana koʻikoʻi loa. Aia kekahi mau mea hiki iā kākou ke hana e mālama i ko kākou mau aa koko, ʻaʻole wale ka aa koko femoral, akā, ʻo nā aa koko āpau i loko o ko kākou kino, i olakino:
- E ʻai i ka meaʻai olakino: E ʻai i nā mea kanu, nā huaʻai, a me nā meaʻai waiwai i ka fiber. E hōʻemi i ka ʻaila, ke kō, a me ka paʻakai.
- E hoʻoikaika kino pinepine: He mea maikaʻi loa nā hana e like me ka hele wāwae, ka holo ʻana, a me ka ʻauʻau ʻana no kou mau aa koko.
- E kāohi i ke koko kiʻekiʻe: E lawe i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka.
- Inu wai lawa: He mea maikaʻi ke inu i ka liʻiliʻi he 8 mau aniani wai i ka lā.
- E pale i ka puhipaka: He mea ʻino loa ka puhipaka i nā aa koko.
He mea nui: ʻO kou aʻa femoral, e like me nā aʻa ʻē aʻe, kōkua i ka hoʻomau ʻana i ke kahe ʻana o kou koko. ʻO ka hana ʻana i nā hoʻololi liʻiliʻi i kou nohona e hiki ke kōkua i ka mālama ʻana i kēia mau aʻa i ke olakino. E kamaʻilio me kāu kauka no ka ʻike hou aku.
Leka Lawe-Home
ʻAe, no laila, e hōʻuluʻulu kākou i kekahi mau mea e hoʻomanaʻo ai e pili ana i ka vein femoral a mākou i kamaʻilio ai i kēia lā:
- ʻO ka aʻa femoral kahi kīʻaha koko nui i kēlā me kēia o kou mau wāwae.
- Hana ʻia kēia e hoʻihoʻi i ke koko nele i ka oxygen mai nā wāwae haʻahaʻa i ka puʻuwai .
- Hoʻohana ʻia kēia aa koko ma ke ʻano he ala komo no kekahi mau hoʻokolohua lapaʻau a me nā lāʻau lapaʻau.
- Hiki i nā kūlana e like me ka deep vein thrombosis (DVT) a me ka chronic venous insufficiency (Chronic Venous Insufficiency) ke hoʻopilikia i kēia mau aa koko.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka wāwae, ka pehu ʻana, a i ʻole nā loli ʻana o ka ʻili , e ʻimi i ke kōkua lapaʻau .
- ʻO ka hahai ʻana i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka) hiki ke kōkua i ka mālama ʻana i ke olakino o kou mau aa koko.
No laila, ke lana nei koʻu manaʻo ua maopopo iā ʻoe ke ʻano o ka Femoral Vein. ʻAʻole anei he mea nui loa ka ʻike e pili ana i ia mau ʻāpana kupaianaha o ko kākou kino?
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